person
Mrs. Aisha Gilliam, LPC
Professional Counselor in Saint Louis, Missouri
NPI 1346830080

Aisha Gilliam is a Professional Counselor based in Saint Louis, MO and is specialized in Professional. Aisha Gilliam practices in Saint Louis, MO and has the professional credentials of LPC. The NPI Number for Aisha Gilliam is 1346830080 and holds a License No. 2019000930 (Missouri).

The current practice location address for Aisha Gilliam is 4390 Lindell Blvd Ste 200, Saint Louis, MO and can be reached out via phone at 314-956-0547.

Location: 4390 Lindell Blvd Ste 200, Saint Louis, MO, 63132-4027
person
Provider Profile Details
NPI Number
1346830080
Provider Name
Aisha Gilliam
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4390 Lindell Blvd Ste 200, Saint Louis, MO, 63132-4027
Phone Number
314-956-0547
Fax Number
Provider Enumeration Date
01/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2019000930 01 MO LPC MO
institution
Provider Business Practice Location Address Details
Address
4390 Lindell Blvd Ste 200
City
State
Zip
63108-2735
Phone Number
314-956-0547
Fax Number
person
Provider Business Mailing Address Details
Address
4390 Lindell Blvd Ste 200
City
State
Zip
63108-2735
Phone Number
314-956-0547
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2019000930 (Missouri)
Definition
Definition to come...
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